VASCULAR-SURGERY REDUCES THE FREQUENCY OF LOWER-LIMB MAJOR AMPUTATIONS

被引：43

作者：

LINDHOLT, JS

BOVLING, S

FASTING, H

HENNEBERG, EW

机构：

[1] Department of Vascular Surgery, Hospital of Skive

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1994年 / 8卷 / 01期

关键词：

AMPUTATION; VASCULAR SURGERY;

D O I：

10.1016/S0950-821X(05)80116-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In June 1988 a Department of Vascular Surgery was established in the county of Viborg, Denmark. In this retrospective study of the periods 1986-87 and 1989-90, we have observed a significant rise in the number of patients evaluated by a vascular surgeon before amputation, from 19 to 49%. At the same time the number of major lower limb amputations significantly decreased. This reduction was most marked in 1990 probably due to a rise of 43% in the number of distal reconstructions. The distribution between below knee, through knee and mid-thigh amputation was unaffected by the increased vascular surgical activity. The frequency of major amputations in the county in 1986-87 of 40.9 per 100000 per year declined by 25% to 30.9 per 100000 per year in 1989-90. We conclude that vascular surgery reduces the number of major lower limb amputations and consequently all patients threatened with amputation must be evaluated if vascular reconstruction is possible. © 1994 W. B. Saunders Company Ltd.

引用

页码：31 / 35

页数：5

共 9 条

[1]

Liedberg, Persson, Increased incidence of lower limb amputation for arterial occlusive disease, Acta Ortho Scand, 54, pp. 230-234, (1983)

[2]

Bergqvist, Amputation vid kritisk ich˦mi, Nord M, 107, pp. 38-39, (1992)

[3]

Linddahl, Bolund, Amputationer på underekstremiterne, Ugeskr L˦ger, 107, pp. 365-368, (1969)

[4]

Christensen, Lower limb amputations in the County of Aalborg 1961–1971, Acta Orthop Scand, 47, pp. 329-334, (1976)

[5]

Pohjolainen, Alaranta, Lower limb amputations in Southern Finland 1984–85, Prosth Orthot Int, 12, pp. 9-18, (1988)

[6]

Povlsen, Jensen, Mortality After Major Amputation Following Gangrene of the Lower Limb, Acta Orthopaedica, 53, pp. 879-884, (1982)

[7]

Ebskov, Internosokomielle forskelle ved vascular insufficiens amputationer, Nord Med, 107, pp. 40-41, (1992)

[8]

Ebskov, Josephsen, Incidence of reamputation and death after gangrene of the lower extremity, Prosth Orthot Int, 4, pp. 77-80, (1980)

[9]

Sernbo, Bergqvist, Johnell, Lundell, Amputationer i Malmö 1979, −84, −89, −och 90—beskrivning av patienternas bakgrundsdata, Svenska Ldkaresdllsk Handl, 100, pp. 275-276, (1991)

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